Organization
INSTADR PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI CHAHINE MD (CEO)
(310) 402-4589
Entity
Organization
Contact information
Practice address
5164 PLYMOUTH RD, ANN ARBOR, MI 48105-9520
(310) 402-4589
Mailing address
5164 PLYMOUTH RD, ANN ARBOR, MI 48105-9520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2022
Last updated
09/28/2023
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